While monitoring a client on fludrocortisone, which additional assessment should the nurse prioritize?

When a client is on fludrocortisone, which is a mineralocorticoid used primarily to treat conditions such as adrenal insufficiency, careful monitoring of blood pressure is crucial. Fludrocortisone enhances sodium retention and potassium excretion, which can lead to an increase in blood volume, thereby elevating blood pressure. As a result, sodium and fluid retention can contribute to hypertension, making regular monitoring of blood pressure essential to detect any significant changes early.

Moreover, monitoring blood pressure also helps in assessing the overall effectiveness of the therapy, allowing the healthcare provider to adjust dosages if necessary. Maintaining optimal blood pressure levels is vital for preventing cardiovascular complications, especially in patients who may be at higher risk due to their underlying health conditions that necessitate fludrocortisone treatment.